Wednesday, April 26, 2017

CMS Updates SNF Billing Reference Booklet

The Centers for Medicare and Medicaid Services (CMS) recently posted an updated nineteen page Medicare Learning Network SNF Billing Reference booklet. The booklet focuses on fee-for-service Medicare Part A and Part B coverage and billing topics. SNF billers and other interested staff are encouraged to review this updated booklet.

The “Medicare-Covered SNF Stay” section covers skilled services, coverage requirements, Part A benefit exhaustion, benefit period, and communicating with beneficiaries topics. The “SNF Payment” section covers Medicare Part A (including consolidated billing), and Part B. The “SNF Billing Requirements” section offers billing tips, and describes special billing situations such as: readmissions within 30 days, benefits exhausted, no payment billing, expedited review results, non-covered days, and other billing situations. The document also contains a list of resource web pages for additional reference.

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